HomeMy WebLinkAbout190 Pine Tree Lanet
Application No. .....29.9.4........................ Permit Na .....2739 ..._......... j
I
TO THE BUILDING INSPECTOR
i
3 Of the
TOWN OF SOUTH WINDSOR, CONN. 3
hereby make application for a permit to (erect (make alteration to) a building according
to the following detailed statement of the specifications and plans herewith submitted. (Draw a line through
word "erect" or words "make alteration to" as the case may require.)
All provisions of the Building By-Laws _(Sections 2 to 32 inclusive) shall be complied within Ar_=eca, r
tion of this work whether specified herein or not.
South Windsor, Conn., NOY.................. 15.................... 19.. ...
Signhen . .. .. . .........
A
Location? ..Tl"..'€"i...side of? ........1.9m.ft..............................................................................................
Nearest cross street? ..:...............................................................:.....................Street No. ................................_................... Lot No.....122-A........
Owner of land is? a...................Addres ... l Atat .muster..,.. y..
Ownerof building.is? ...#1......................As..................1.9................Address ... ........... .................................#.#..........................0.4...................
Architect is? .... Address
amBuilderis? .. Address ' ' ... Rd**oft .c
Dimensions of building?' ........................Feet front? ..... ................... Feet rear? .... ........... Feet deep? ......... ............
Extreme height to highest point of roof? ................... t . No. of stories in height? ....................................
Purpose of building is? ........................3 No. of stores? .................am
Howmany families? ................ ..........................................................No. of rooms? .... ......................... ....................................................................
45fDistancefromstreetlineis? ..................................................................from building line is? .......................................................................................
ADDITIONS AND ALTERATIONS
Give Brief Description)
r
MapNo. .. .. .....................
If of steel frame, what is exterior construction? .
What kind of columns used? .......... .. . .. .... ...... . ............ Size of columns used? .
What length of columns used? ... ... . How protected? .. . . . ........ . ............................. ......... ...
What kind of beams or girders? . . . . Size of beams or girders? . .....
Longest span of beams or girders? These rest on? .
Roof construction is? ......... ....... Roof covering is? .
The floors are of construction and are calculated to carry a safe load of
lbs. per square foot.
See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed?
Composition of mortar? . ......... .................................. ........ ............................................................................... ............................................
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
x '
2nd
3rd "
I..................................... ........... ....... . . ..................... .....
4th Is
5th 11
r........................................... ............................................... ................ ...........................
6th "
7th "
I................... 1........... ..... . ... . ............................. ......... ... ............ .................................................
8th Is
9th "
10th "
Material.of Front? If stone, what kind? .
Thickness of Ashlar?Thickness of Backing?
Backed up with what?Arches or lintels over openings?
WOOD CONSTRUCTION.
Give Size, Longest Span and Distance Between Centres, of.foists, Girders and Columns
d01M GiIRDMB COLUMM
Floe" SUO Longest SPM C4UtMZrjd In ffift Longest Spsu Centres mRiseLe Centm
ist Floor
IP................ALA
3........0 d_ ..r._............ .ti.__..... ...._...... gw...._.._.wh....
np9
4
w....n..r.....w... w ....................
i
Size of outside studs? ...... Distance on centres? ....... .......................... Size of sill? ......
Distance on centres?.......Size of rafters? ..............._.Size of plan?*.......:0....... ..............
Size of ledgers or girts? .................................................................................Size of deck rafters? ... ...................
Distance on centres? ........................................................................................Size of studs in bearing Partitions.?
v
x
MISCELLANEOUS
Style of roof, flat, pitch, Mansard, or hipped? ...... ..`.... Fireplaces? ....................................
Material of roof*covering? ... '++ .................................Material of Cornice? .........
Howis building heated. . .. .... Lining of flues? ... ....................................................................... ................
Thickness of shell of flues? ............ ............ Any elevators or lifts.?
What kind? .............. .............. .. . ......... How many? ... . ... .y y ? .. ...An hoistwa s
R
How protected? . ............ ..................................................... ................Total Value of Building ; g
When will work be commenced? 1 ............................................................................................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this appli-
cation, has 20,000 square feet, or more, and at least 100 foot frontage on a Town road shown on a map of
South Windsor showing Town Roads dated December 1949, or on any other roads officially accepted by the
Town of South Windsor since 1949.
Applicant
L.
7-739
BUILDING APPLICATION
Application No. ....2.9.9.9......................................................
East
onthe ............................ .............. ............................ side of
Pine Tree Lane Street.
Street No,190 Lot #122—A
Avery...Heigh COwnerts o...... ........... ...............
Applicant Same. . ..... .......... . .. .. . ..... .....
CLASSIFICATION
Dwel.ling 26'..X40............ ............ ....................
I. ......... ... ................. .... ........ .................................
Permit issued on above Application.
Date, 19....9
i.
TOWN OF SOUTH WINDSOR s
BUILDING PERMIT r=
Date May 20 s 19 59
Fee Paid 5.2«00 Est. Value $13,.000
Permit N9 2739
on the side of
Pine Tree StreetLane
Street No.190 Lot #122—A
Owner Avery Haight s Ca,
Applicantn Same M_
r
CERTIFICATE OF OCCUPANCY ISSUED:
Date
r
No.1698
Fee Paid 1 39 00 ti
CLASSIFICATION i
Dwelling 26I X40
BUILDING PERMIT
N° 2739
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. may 20 a% 19
94i"s to to Terttf1j, That Avery He irzht s Co.
2- '
is hereby granted permission to 11 'r z 6 'd}
at estimated value of $1-30000
on the U 5t side of Yin® Tree .eS`e J-Dt #122"A Street on land
owned by Avery Ha ,r-.ht s CO-
Said Work to be as described in Application
No.29-9- — and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued May20- 19 59
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
Permit No. TOWN OF SOUTH WINDSOR
SOUTH WINDSOR, CONN.
Permit N4 1698
Certificate of Occupancy
THIS IS TO CERTIFY that the
a-inatNo. [; rhe Town of South Windsor, Connecticut,
has been erected and completed in accordance with the Building Code and Zoning Regulations of
the Town of South Windsor, and is hereby approved occupancy.-
low BUILD G Y 9 R
NER, B ER
ee Paid Date 119
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JLIJ "'A"Jim SP WIM
Of the
TOWN..^v; OUT iNi' SOlt, trONl .
hereby make application for a permit to (erect (tsale aaa a aooa g
to the in it&ts W stamuent of the cat sand puns herewith submitted. (Diiw a dhmo
word "erect" or words "make alteration to" as the rasa may require.)
All prove of,the.Buildimg ByLawns',(S s 2 to 32 inclusive),t ,be oamp with M the caeca-
tion of this work whether end herein or not.
P
South Windsor, Conn., .. .... ._..C. ....... 19.... ;?
sigt,
0.. `- .....
Location? . .............................. side of? ...... ................`..`.............................. ................................
r A..Zf .19Nearestcrossstreet? .a... Street No. .................. Lot No.
Owner of land is-4 .V.S 6' .... L1`.f V ddress rd ".... :... ... .
Ownerof building is? ..........%..'.....................................`.....................Address ... ......'..`......................................................................................................
Architectis? .......................... &A................................................ .....`...............Address ...................`..:..............................................................w...........
Builderis? .. ....................... ................................................................................_Address ....................................................................................................... ...........
Dimensions of building? .YLY10........Feet front? ............ . .......... Feet tear? ................ .......... Feet deep? ..... ........
i
Extreme height to highest point of roof? .............. ... ... No. of stories in height?...... '
Purpose of building is? ....1LtQ..I......v........No. of stores? ..... .................. ........................................................................
Howmany families? ............................................_......................_..._.............No. of rooms? ... ... ....................................................................................
Distance from street line is? . .. ....... .... .....................................from building line is? ....... ....... .... ..... .......................... ................
ADDITIONS AND ALTERATIONS
Give Brief Description)
Map No. . . ..... ........
If of steel frame, what is exterior construction? .
What kind of columns used? .............. Size of columns used?
What length of columns used? .. How protected?
What kind of beams or girders? Size of beams or girders? ....
Longest span of beams or girders? These rest on? .
Roof construction is? ..... ..... Roof covering is?
The floors are of .. .. . .. .... construction and are calculated to carry a safe load of
lbs. per square foot.
See Section 14, Building By-Laws.)
BRICK CONSTRUCTION.
Of what material will walls be constructed?
Compositionof mortar?
Height and Thickness of Walls
Height Stories Front Walls Side Walls Rear Walls Partition Walls
Basement,
1st Story
2nd "
3rd "
I.................... .... ............. .. ... . .. ....... .... ..... ...
4th Is
I ... ........ .... ....... ..
5th "
6th "
7th do
8th 18
9th "
lOth.....;......... ........... .. ... . .. ....... . . ........... ........ .... ...... ............... .. . ......... ..... ........
I....... .....I......................
Material.of Front? If stone, what kind?
Thickness of Ashlar?Thickness of Backing?
Backed up with what? Arches or lintels over openings?
P
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w'V t•mCF t s R,S'4`W4'i_.'tr 1',.,",y A"ke.rID S'ar ..
M w ... _-. _ v
v ._r ...... _ ...
ofo{tW& studs? .......................................... an mtra? ............................................... Size of sill? ......................................
Size of rafters? .......................................... Distam on coma?...............................................Site of place? NN.N............_.........N.NN..............N.
Size f 1«lgen at gins? .................................................................................Size of deck rsfters? .......... .......... . .......................................... ...........N.
Distance on antra? .....................................................W.....................-....._Size of studs in bearing partitions? ..............................................N.
MISCELLANEOUS
Style of roof, flat,pitch, Mansard, or hi ? ........... . .1.. Gi.fJ................................ Fueplaces? ........................................................
Material of roof cov ? .. Material of Cornice? .................... .....r.............................................
Howis building hated? .............................................................................Lining of Am? ... ..............................................................................................
Thicknessof shell of flues? ........................................................................Any elevators or lifts? ............................................................ ......................
Whatkind? ................................................ How many? ........... .... . .... .......................... Any houtwa ? .........................................................
Howprotected? ................ ................................................... ..............Total Value of Building .......Z.,V..0..............................................
n t O
00,000Whenwillworkbecommenced? ... Ci........................
The applicant warrants that the lot for residential purposes, shown on a plot plan accompanying this
application, conforms to the zoning regulations of the Town of South Windsor.
Town of South Windsor since 1949.
0"licant
38/t)9
BUILDING APPLICATION
b- 9
ApplicationNo. ... .
12. ...............................................................
on the ...h.art-'r). . ..... .. ....aide of
i.n.e... ',.'.reci-.tane.... Street.
190
Street No,
Owner JoF--e-,-,n W,,, 1,'clirnery
art-,e
Applicant
CLASSIFICATION
f o o-.I Shed 8 '.x-10,t
Permit issued on above Application.
Date, 1-j rii 1962
a
TOWN OF SOUTH WINDSOR
BUILDING PERMIT
Date April 9 s 2 19 62 et
Fee Paid . .?.•.0Q "Est. V.I e $2 Q0!Of
Permit N9 3869
on the N ort1, side of
ti
v
Pire Tree Lane Street
i
Street No. 190.
Owner Jo s e nh W. Fic Anneny
Applicant Same
CERTIFICATE OF OCCUPANCY ISSUED:
Date
No.
Fee Paid $
CLASSIFICATION
Tool Shed 81xlot
BUILDING PERMIT
N® 3869
OFFICE OF
THE BUILDING INSPECTOR
of the
Town of South Windsor, Conn.
South Windsor, Conn. — April 9- 1962
U14is to to Terftf1j, That
is hereby granted permission to 1001 3 1 x10 1
at estimated value of $
on the North side of 190 ?ine "'ne-3 Street on land
owned by Joseph NCAnnanv
Said "`or to be as described in Application
No. 4129 and to conform to specifications and plans filed with said Application, and Building By-
Laws of THE TOWN OF SOUTH WINDSOR.
Issued Mgr{_ 1962
Building Inspector.
Streets and sidewalks, obstructed by excavations or building materials, must be guarded by barriers
during the day and by both barriers and colored lights by night.
SECTION 1343, GENERAL STATUTES OF CONNECTICUT: "When any person shall place
or keep building materials, or any obstacle in any highway (or any sidewalk) either with or without a
license therefor from the city or borough in which such highway may be situated, he shall pay said city,
town or borough all costs and damages which it shall sustain, or be compelled to reason therefor."
5957
ir/
Q
ELECTRICAL APPLICATION
Application No.6 9-6 A
on the side of
Pine Tree Lane StMt
Street No. 1,.90
Owner Joseph McAnneny
Electrician Thomas Foran
FILED IN OFFICE OF
The Building Inspector
April 20 19 76.
INSPECTION.
No Electrical Work shall be started until a Per-
mit is granted by the Building Inspector.
In New Buildings no wiring shall be started
until the plumbing and heating pipes, and the fire
stops (if of wood) are installed, without a special
permit from the office of the Building Inspector.
J
APPLICATION FOR PERMIT TO DO ELECTRICAI. WORM.
No. .......62.6.&..................
Permit No. .......5$.5..7......................
TO THE BUILDING INSPECTOR
of the
TOWN OF SOUTH WINDSOR, CONN.
hereby make application tcq perform Electr cal Work according to detailed description below. All
provisions of the Rules for Electrical Installation, Section 48, Building By-Laws, shall be complied with
whether specified herein or not.
South Windsor, Conn., .............',1... .. .......................................... 19....... Sign here
Address 7r.n......`,,...........,<
T eLocationPIJ.•..Y .. .......... Side of ...............................................................................................................................
Nature of Building ...........C. dL.. ld... /.................... How many stories .......... ..............................................................................
Newor old Building ......................l....................... .... ... ............. How many families ....../..._......................_........................................_...........
Kindof Installation ...Ai.. P...........(....-.. .......................... How many Stores ........................................._.......................................................
C' .. ? Ae r ..... Address /J!e A..e........!! L.._LOwner
Architect ...................................................................... ...................................... ....... Address ............................................................................_..............._...._........_._....
Builder ........................... .............................Address .........................................................................................._•_._...................
Electrician Pd 1..1... ./....-..0/ /1............................. Address .. 1 l9Cr.a! 2:......9!...._1.- 4/
Size of Main Wires ... ....................................................._
le-1 77
No. of Light Loops ......................................... No. of Heat Loops ................... ...... ....... No. of Power Loops ....................
No. of Light Outlets ................... ............... No. of Heat Outlets ........ ........ ... .... .. .. No. of Power Outlets ...............1..................
NoP of Light Circuits .................. ................ No. of Heat Circuits ........ . . . .. . ......... No. of Power Circuits ..........(.. ..................
No. of Sockets ......................... ... .................. No. of Heat Receptacles ... .. . ...... ... No. of Motors ..........................(........................
No. of Panels ......................................................... Size of Heat Circuit .. .............................. No. of Power Receptacles ........................
No. of Switches ................../............ ..... ...... Total Wattage ..................................................... Size of Power Circuit ... /............
r!
Total Horsepower ........ram...... ............
No. of Straight Electric Fixtures ................... ..................... ...... No. of Combination Fixtures ............................................. ..............
No. of Receptacles No. of Cord Drops .............................................................................................
Remarks: For other kind of Installation ....... 14-A ........... F .........,
t....... . ........................................................................................................................................................................................................
Estimated Cost ......
FOR OFFICE USE NLY APPLICATION FOR HVAC PERMIT DATE: V1111,Ff
NO.7] TOWN OF SOUTH WINDSOR EST.COST:
BLDG. PERMIT NO.fi. 1540 SULLIVAN AVENUE FEE
SOUTH WINDSOR, CT 06074 FEES:
644-2511 — Ext. 230 0 — $19000 — $10.00
1000 or fraction
LOCATION OF BUILDING a
thereof - $10.00
OWNER ADDRESS TOWN PHONE NO.
e4A5ifflNTRACTOR(/" ADDRESS TOWN PHONE NO.
TYPE OF SYSTEM: HEATING TYPE OF BUILDING: RESIDENTIAL
A/C COMMERCIAL
VENTILATION BUSINESS
INDUSTRIAL
IF HEATING: STEAM LOW PRESSURE LIMIT LBS. HIGH PRESSURE LIMIT LBS.
HYDRONIC c- WARM AIR
UNIT RADIANT HEATER (INCLUDING WOOD/COAL BURNING STOVE)
TYPE OF FUEL: OIL-GPM GAS IN-PUT ELECTRIC KW
WOOD COAL
OIL TANK - SIZE & LOCATION: INSIDE OUTSIDE CAPACITY
LPG TANK - CAPACITY
EXISTING RADIATION ADDITIONAL RADIATION TOTAL RADIATION
DESIGN TEMP. OUTSIDE OF INSIDE OF DIFFERENCE OF
TOTAL HEAT LOSS (BTUH) HEAT LOSS SHEET MUS ACCOM YY-,LOCATION)
DESCRIBE ALL HEATING EQUIPMENT (INCLUDING MAKE & MODEL NO.) : e
GROSS HEATING CAPACITY (INPUT-BTUH) NET RATING (OUTPUT-BTUH)
IF AIR CONDITIONING: DESIGN TEMP. OUTSIDE F INSIDE OF DIFFERENCE OF
TOTAL HEAT GAIN (BTUH)
HEAT GAIN SHEET MUST ACCOMPANY APPLICATION)
DESCRIBE ALL COOLING EQUIPMENT (INCLUDING MAKE & MODEL NO.) :
TONNAGE COOLING CAPACITY (BTUH)
IF VENTILATION: DESCRIBE ALL AIR-HANDLING EQUIPMENT (INCLUDING KITCHEN EXHAUSE EQUIPMENT) :
TOTAL SIZE OF SYSTEM (CFM) FRESH AIR INTAKE (CFM)
PLAN MUST ACCOMPANY APPLICATION)
The undersigned hereby applies for a permit to perform the following work and is to comply
with all local ordinances and State of Conn. Building Codes in the performance of such work.
FURTHER DESCRIPTION OF WORK: Llal _,z O',
7 4DA -STATE LICENSE - NAME & TYPE # YIGNATURE OF APPLICANT
APPROVED DATE
BD 4A 11/88
I = B = R CALCULATION SHEET 1503 (Modern Method) Copyright 1977 by The Hydronics Institute
OWNER ADDRESS DESIGN TEMPERATURE DIFFERENCE F. DATE
COL.A COL.B COL.C COL.D COL.E COL.F COL.G
1 ROOM cc
O H L I W H L I W H L W H L W H L W Design Water Temp.
2 ROOM DIMENSIONS, FT
UU BTUH per F of of
3 LENGTH EXPOSED WALLS,FT. Q Radiation Selected
4 WINDOW AND OUTSIDE DOOR AREA LL
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION
Table 9, Line 3 x H)ROOM LIN.FT.OF
TOTALS RADIATION
6 TYPE OF GLASS FROM LINE 12 SELECTED
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION C
Table 9. L x W)
g FLOOR CONSTRUCTIONt D—
Table 9, L x W or Lin Ft) E
9 COLD PARTITION CONSTRUCTION F
Table 9, L x H)
G
10 c 1 Wall (With Openings)C
0 r H
r m 2 Walls(With Openings) DX
3 Wells(With Openings) or Ent Hall fe.
J
11 TOTAL BTUH AT 70F TEMP DIFFERENCE' J
12 TOTAL 13TUH AT DESIGN TEMP DIFFERENCE K
L
COL A COL.B --COL.H -- COL. I—_ COL.J -_ - - COL. K COL.L TOTAL BTUH TOTAL
OF BUILDING RADIATION1ROOM
AT SELECTED
O H L W H L W H L W H L W H L W DESIGN TEMP.-
2 ROOM DIMENSIONS, FT DIFFERENCE
U
3 LENGTH EXPOSED WALLS, FT Q
41 WINDOW AND OUTSIDE DOOR AREA U.
BTUH BTUH BTUH BTUH BTUH
5 WALL CONSTRUCTION INCREASE BATHROOM
Table 9, Line 3 x H)TOTAL 20%
6 TYPE OF GLASS ---
Bottom of table used for Line 5)
7 CEILING CONSTRUCTION tFOR CONCRETE FLOOR ON
Table 9, L x W) GROUND OR FILL AT
GRADE LEVEL,USE LINEAR
1B
FLOOR CONSTRUCTIONt FEET OF EXPOSED EDGE
Table 9,L x W or Lin F t
9 COLD PARTITION CONSTRUCTION
Table 9, L x H)
10
cL3Walls
ll(With Openings) G
0 e3lls(With Openings) G X
With Openings) or Ent Hall feJ
11 TOTAL BTUH AT 70F TEMP DIFFERENCE'
12 TOTAL BTUH AT DESIGN TEMP DIFFERENCE
This form is available from The Hydronics Institute,35 Russo Place,Berkeley Heights,N J 07922 FORM 1503
PERMIT #
DEPARTMENT DECISION APPLICATION FOR ELECTRICAL PERMIT
Application is hereby:TOWN OF SOUTH WINDSOR
APPROVED DISAPPROVED BUILDING INSPECTION DEPT.
644-2511 Ext . 230
49 Application must be printed or typed.
D ito g I spector
1 . LOCATION OF JOB
FEE SCHEDULE No . Street
0 - $19000 -10.00 Floor Apt . No .
Over $1 ,000 -10.00 L2 . OWNER
per $1,000 or O j' I C.7T[ ,/y ey1L`y
fraction thereof
3. ADDRESS / 90 n e-, "r, QA G
g (_0 j-*2
4 . APPLICANT
5 . ADDRESS 7 r•
6. ESTIMATED COST $ QQ
7 . IS THIS A CONTRACT COST X
Yes No
8 . FEE ENCLOSED $
I
9 . TYPE OF BUILDING:
PRESIDENTIAL COMMERCIAL
10 . TYPE OF JOB:
Original Installation
I
Alteration/Addition/Repair
BD 3A 11/88
APPLICATION FOR ELECTRICAL PERMIT (Continued from Reverse Side)
11 . LOCATION OF JOB /gQ 29 Gq&-Z
NO . STREET APT. NO
12 . TYPE OF INSTALLATION q q
13 . SIZE OF MAIN FEEDER_ U
14 . NO . OF LIGHT LOOPS 15 . NO. OF HEAT LOOPS
16 . NO . OF POWER LOOPS 17 . NO. OF LIGHT OUTLETS
18 . NO. OF HEAT CIRCUITS 19 . NO. OF POWER OUTLETS
20. NO. OF CONVENIENCE OUTLETS 21. NO. OF HEAT CIRCUITS
22 . NO. OF POWER CIRCUITS 23. NO. OF LIGHT CIRCUITS
24. SIZE OF HEAT CIRCUITS 25 . NO. OF MOTORS
26 . NO . OF PANELS- / 27 . TOTAL WATTAGE
28 . NO. OF POWER FEEDERS 29 . NO. OF SWITCHES
30. A/C LOAD 31. SIZE OF POWER FEEDERS
32 . NO. OF FIXTURES 33 . TOTAL HORSEPOWER
34 . NAME OF SUBCONTRACTORS AND THEIR TRADES
RIO q 19 .15 /.jaCTRIC'
35 . REMARKS AND FURTHER DETAILS :
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LICENSE NO . IG ATURE OF APPLICANT DATE
PHONE NUMBER: C4
Lot No.
Building Permit
Temporary ServicePrY
Permanent Service 1 7
Pursuant to Permit No. / Z
This Certifies that the Electrical Work for which the above named Permit was granted
has been duly inspected and is hereby approved.
Owner. 1,oll rl C Electrician lclosA
Street I
Inp Inspector
Lot No.
Building Permit
Temporary Service
Permanent Service l t
Pursuant to Permit No.
This Certifies that the Electrical Work for which the above named Permit was granted
ihasbeendulyInspectedandisherebyapproved.
Owner U/r Electrician
f
Street p ^'-{
L 19 Inspectornp
i
Bectric# 190 PINE TREE
ICATION FOR BUILDING PERMIT
Plumbing#
HVAC # 25068 Date:
Sprinkler#
No.
FtL PRO Estimated Cost $ 6.Oo°
Buildi COMPLETE RED BOXED AREAS Permit Fee 2 oa
Engine TYPE OR PRINT ONLY Occupancy Fee
Affidavit REVERSE[IGN ON SIDE Total FeeAppr.for CO.
TO BUILDING DEPARTMENT,TOWN OF SOUTH WINDSOR,CT Additional Cost)
The underlined h reby applies to do work according to the following specifications:
Job Locatio Lot No. Side of Street_Zone
Applicant C.O x1,ef, k 66an i- X-A& -2 e- Tel.# G 93 1" 3
Addr ss /2 /oS- Oby Zip a6 2,7;L Lic.# 6O 5,512 4,l 9
Owner A gL47Z&- /'!Gf}/" "li Address/0 e°i; rit'o-4- ,t 51't
Architect E'S oA4o&:y Address
Sq.Ft.N w Area: lst FI. 2nd FI. 3rd Fl. Total New Area
Rooms Lavatories Bathrooms Garages
Purpose of this permit:
City Water Well Septic System Sewer
Ins. H.O. S.P. Cert. V0, Area Basement Garage
Approved by Dot Use Group Construction Type
Rev'sed 1197
I hereby agree to conform to all the requirements of the Laws of the State of Connecticut and the Ordinances of the Town of
South Windsor and to notify the Building Inspector of any alteration in the plans or specifications of the Building for which this
permit is asked,and agree that this building is to be located the proper distance from all street lines,side yard lines,and required
distances from all other zones and is located in which this building and its use is allowed.
Signed 113.:,
I hereby apply for a Certificate of Occupancy for the work described in this application for the permit.
Signed
DO NOT WRITE BELOW THIS LINE
INSPECTION COMMENTS